Developing and validating a national set of standards for undergraduate medical education using the WFME framework: the experience of an accreditation system in Iran

Gandomkar, Roghayeh; Changiz, Tahereh; Omid, Athar; Alizadeh, Mahasti; Khazaei, Majid; Heidarzadah, Abtin; Rouzrokh, Pouria; Amini, Mitra; Honarpisheh, Hamid; Laripour, Reza; Abedi, Farshid; Sabet, Babak; Mirzazadeh, Azim

doi:10.1186/s12909-023-04343-9

Table 1 I-CVIs for clarity, relevance, optimization and evaluability criteria and percent agreements for a standard level criterion by standards

From: Developing and validating a national set of standards for undergraduate medical education using the WFME framework: the experience of an accreditation system in Iran

Standards	Clarity	Relevance	Optimization	Evaluability	Basic or QI?	Standards	Clarity	Relevance	Optimization	Evaluability	Basic or QI?	Standards	Clarity	Relevance	Optimization	Evaluability	Basic or QI?
B1-1-1	0.82	0.82	0.75	0.71	89	QI4-1-1	0.89	0.89	0.64	0.71	93	QI6-3-1	0.82	0.75	0.71	0.71	57
B1-1-2	0.86	0.82	0.68	0.75	86	QI4-1-2	0.79	0.82	0.68	0.75	79	QI6-3-2	0.89	0.82	0.79	0.82	82
B1-1-3	0.89	0.82	0.75	0.64	86	B4-2-1	0.93	0.89	0.75	0.62	86	B6-4-1	0.79	0.82	0.71	0.79	93
QI1-1-1	0.86	0.75	0.46	0.54	75	B4-2-2	0.96	0.89	0.71	0.82	89	B6-4-2	0.82	0.93	0.75	0.82	96
QI1-1-2	0.82	0.86	0.57	0.61	75	B4-2-3	0.82	0.82	0.68	0.64	75	B6-4-3	0.82	0.86	0.79	0.71	93
B1-2-1	0.64	0.71	0.46	0.54	71	B4-2-4	0.79	0.79	0.57	0.71	79	B6-4-4	0.89	0.82	0.75	0.71	79
B2-1-1	0.82	0.82	0.75	0.75	89	B4-2-5	0.79	0.82	0.71	0.64	86	QI6-4-1	0.68	0.79	0.68	0.61	89
B2-1-2	0.46	0.71	0.54	0.46	71	B4-2-6	0.89	0.82	0.79	0.86	68	B6-5-1	0.71	0.79	0.71	0.64	82
B2-1-3	0.75	0.75	0.71	0.50	79	B4-2-7	0.89	0.82	0.68	0.71	64	B6-5-2	0.89	0.93	0.75	0.79	71
QI2-1-1	0.75	0.86	0.71	0.64	36	QI4-2-1	0.89	0.82	0.75	0.71	75	QI6-5-1	0.82	0.93	0.75	0.75	53
B2-2-1	0.75	0.82	0.71	0.75	86	QI4-2-2	0.89	0.86	0.71	0.79	68	QI6-5-2	0.82	0.86	0.64	0.68	86
B2-2-2	0.89	0.86	0.75	0.75	89	QI4-2-3	0.86	0.86	0.75	0.79	79	B6-6-1	0.89	0.82	0.71	0.75	75
B2-2-3	0.75	0.64	0.57	0.61	75	B4-3-1	0.79	0.82	0.68	0.68	64	QI6-6-1	0.82	0.79	0.64	0.71	79
B2-2-4	0.79	0.86	0.71	0.71	79	QI4-3-1	0.75	0.82	0.64	0.71	68	B7-1-1	0.82	0.89	0.71	0.86	82
QI2-2-1	0.75	0.82	0.64	0.54	54	B5-1-1	0.86	0.86	0.79	0.75	89	B7-1-2	0.86	0.89	0.79	0.79	82
B2-3-1	0.71	0.75	0.64	0.71	54	B5-1-2	0.86	0.86	0.75	0.86	93	B7-1-3	0.86	0.89	0.75	0.75	82
B2-3-2	0.93	0.82	0.79	0.79	82	B5-1-3	0.96	0.89	0.82	0.79	89	QI7-1-1	0.79	0.82	0.68	0.71	71
QI2-3-1	0.71	0.82	0.54	0.68	71	B5-1-4	0.96	0.89	0.75	0.82	89	B7-2-1	0.64	0.64	0.68	0.64	75
QI2-3-2	0.82	0.71	0.68	0.79	71	QI5-1-1	0.93	0.82	0.71	0.82	61	QI7-2-1	0.64	0.71	0.39	0.43	89
QI2-3-3	0.82	0.82	0.64	0.50	46	QI5-1-2	0.86	0.75	0.61	0.68	75	QI7-2-2	0.61	0.64	0.46	0.43	82
B2-4-1	0.93	0.86	0.82	0.86	96	B5-2-1	0.96	0.86	0.75	0.82	93	QI7-2-3	0.82	0.82	0.79	0.79	82
B2-4-2	0.86	0.82	0.75	0.71	79	B5-2-2	0.86	0.86	0.79	0.68	89	B7-3-1	0.82	0.86	0.75	0.79	82
B2-4-3	0.89	0.86	0.75	0.79	93	B5-2-3	0.75	0.82	0.68	0.64	86	QI7-3-1	0.79	0.79	0.61	0.71	82
B2-4-4	0.86	0.86	0.75	0.79	89	B5-2-4	0.86	0.86	0.64	0.71	75	QI7-3-2	0.82	0.79	0.64	0.68	79
QI2-4-1	0.93	0.86	0.79	0.79	32	B5-2-5	0.93	0.89	0.75	0.71	79	B8-1-1	0.93	0.86	0.79	0.86	93
B3-1-1	0.96	0.89	0.82	0.86	96	B5-2-6	0.89	0.86	0.79	0.64	82	B8-1-2	0.93	0.82	0.79	0.86	96
B3-1-2	0.93	0.86	0.79	0.68	89	B5-2-7	0.89	0.75	0.64	0.64	75	QI8-1-1	0.75	0.86	0.71	0.79	61
B3-1-3	0.86	0.89	0.75	0.79	86	QI5-2-1	0.93	0.86	0.75	0.82	36	QI8-1-2	0.89	0.89	0.71	0.82	61
B3-1-4	0.93	0.86	0.82	0.82	86	B6-1-1	0.86	0.86	0.79	0.82	96	B8-2-1	0.89	0.86	0.75	0.86	93
B3-1-5	0.82	0.89	0.71	0.75	64	B6-1-2	0.86	0.89	0.79	0.82	93	QI8-2-1	0.82	0.86	0.68	0.71	50
B3-1-6	0.86	0.93	0.86	0.86	68	QI6-1-1	0.93	0.89	0.71	0.79	57	B8-3-1	0.93	0.89	0.79	0.86	96
QI3-1-1	0.89	0.89	0.79	0.82	32	B6-2-1	0.93	0.89	0.79	0.79	89	B8-3-2	0.93	0.89	0.79	0.86	93
QI3-1-2	0.93	0.93	0.82	0.86	54	QI6-2-1	0.89	0.82	0.64	0.64	64	B8-4-1	0.82	0.93	0.82	0.79	86
QI3-1-3	0.82	0.86	0.82	0.75	71	B6-3-1	0.89	0.86	0.75	0.79	79	B8-4-2	0.82	0.82	0.71	0.75	68
B4-1-1	0.82	0.75	0.61	0.57	68	B6-3-2	0.86	0.89	0.75	0.82	79	B8-4-3	0.89	0.86	0.79	0.82	89
B4-1-2	0.89	0.89	0.71	0.86	93	B6-3-3	0.96	0.89	0.75	0.82	86	QI8-4-1	0.61	0.75	0.68	0.61	75
B4-1-3	0.96	0.89	0.86	0.82	89	B6-3-4	0.86	0.75	0.71	0.79	79	B8-5-1	0.82	0.82	0.75	0.68	75

I-CVI = content validity index at item level, QI = quality improvement, B = basic
Colored boxes indicate I-CVIs < 0.78 or agreements < 70%
1-1-1 stands for area 1-subarea 1-standard 1

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